Gastric perforation biopsy: is it obsolete?


Journal

Langenbeck's archives of surgery
ISSN: 1435-2451
Titre abrégé: Langenbecks Arch Surg
Pays: Germany
ID NLM: 9808285

Informations de publication

Date de publication:
27 Apr 2024
Historique:
received: 21 11 2023
accepted: 15 04 2024
medline: 28 4 2024
pubmed: 28 4 2024
entrez: 27 4 2024
Statut: epublish

Résumé

The aim of the study was to test the established hypothesis that biopsies of spontaneous gastric perforations should be taken to rule out cancer. A prospective observational study was performed. Consecutive patients with spontaneous gastric perforation were included. Biopsies of the edges of the perforation were submitted for histological evaluation. The epithelial type as well as the nature of the pathology were evaluated. Sixty-eight patients were included. Eight (12%) biopsies revealed duodenal origin. Sixty (88%) biopsies revealed gastric mucosa of which 33 (48%) could be specifically typed. All biopsies revealed benign ulceration. No malignancies were detected in these biopsies or on subsequent gastroscopic follow up. This study suggests that routine intraoperative biopsy of gastric perforation may be questioned. Biopsy is probably better performed endoscopically after recovery.

Identifiants

pubmed: 38676744
doi: 10.1007/s00423-024-03325-9
pii: 10.1007/s00423-024-03325-9
doi:

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

139

Informations de copyright

© 2024. The Author(s).

Références

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Auteurs

Petre Francois Steyn (PF)

Department of Surgery, University of Pretoria Medical School, Pretoria, South Africa.

Otto Karusseit (O)

Department of Surgery, University of Pretoria Medical School, Pretoria, South Africa. otto.karusseit@up.ac.za.

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